Serenity at Summit operates premier rehabilitation facilities in both Massachusetts and New Jersey, specializing in drug and alcohol addiction treatment, as well as mental health challenges. Our dedicated team is committed to providing personalized care, utilizing an evidence-based, holistic approach to address the unique recovery journey of each individual.

When choosing to pursue treatment for alcohol or drug addiction, whether for yourself or a loved one, the financial aspect of rehab can be a significant worry. Yet, if you are covered by a Humana health plan, some of your rehabilitation costs will likely be included. We encourage you to contact our team to check your insurance coverage levels and discuss your treatment requirements. Call (844) 326-4514. Taking the initial step toward recovery is a brave decision, and we stand ready to assist you throughout the journey.

Who is Humana?

Humana Inc., headquartered in Louisville, Kentucky, is one of the largest health insurance providers in the United States. They offer a diverse array of services that span Medicare, individual medical, dental, pharmacy, and vision plans, as well as group healthcare coverage for employers. Humana is a technologically advanced company that provides many health insurance options.¹

Humana has been dedicated to promoting healthy and happy living since 1961. They offer several medical insurance options, such as Health Maintenance Organization (HMO), Preferred Provider Organizations (PPO), and Medicare Advantage. In addition, the company provides preventive care services, wellness programs, and prescription drug coverage.

Some of Humana’s Brands, Products, and Services

As a comprehensive health and well-being company, Humana offers a diverse range of brands, products, and services to cater to various healthcare needs. This diversified portfolio underscores Humana’s commitment to addressing the multifaceted needs of the insured. Here’s a glimpse into some of the key offerings within the Humana portfolio:

  • Humana Health Insurance: Humana provides health insurance plans for medical expenses, prescription drugs, and preventive care to individuals and families.
  • Humana Medicare Plans: To improve original Medicare coverage, Humana has Medicare plans for seniors, including Medicare Advantage and Medicare Supplement plans.²
  • Humana Pharmacy Solutions: Humana simplifies the prescription process for members by focusing on improving medication adherence and affordability.³
  • Humana Dental Insurance: Recognizing the importance of oral health, Humana provides dental insurance plans covering various dental services, from routine check-ups to major procedures.
  • Humana Vision Insurance: Humana’s vision insurance plans offer coverage for eye exams, glasses, and contact lenses, supporting preventive eye care and ensuring members access essential vision services.
  • Humana Behavioral Health: Humana’s behavioral health services promote comprehensive healthcare by providing resources for mental health and substance use disorders, potentially including dual diagnosis care.4
  • Humana Go365 Wellness Programs: Humana provides wellness programs with incentives to promote healthy behaviors.5
  • Humana At Home: Diverse in-home care services, such as home health, hospice, and caregiver support, enhance the quality of life for individuals in the comfort of their homes.6
  • Humana Military: Humana Military is a subsidiary of Humana Inc. that administers TRICARE East, ensuring quality healthcare access for active-duty service members, retirees, and their families in the eastern U.S.7

What is Humana Rehab Coverage?

Humana health insurance plans may offer rehabilitation coverage, encompassing various mental and behavioral health services like inpatient and outpatient care, therapy sessions, and detoxification programs. Individuals seeking rehab treatment may find support through Humana’s network of providers, ensuring access to necessary services and fostering a path toward recovery.

Contact us for details on Humana’s rehab coverage, including any potential co-pays, deductibles, limitations, or exclusions.

Does Humana Cover Rehab for Drug Abuse & Alcoholism?

Yes, Humana provides some coverage for drug and alcohol rehab as part of its comprehensive health insurance plans. The level of coverage will vary according to your plan and multiple other factors. While some of the costs may be covered, reviewing your Humana plan details or calling (844) 326-4514 to understand the coverage extent and any out-of-pocket expenses is essential.

Seeking clarification on coverage for Humana alcohol rehab or Humana drug rehab ensures you make informed decisions about your rehabilitation journey while utilizing the support available through your insurance plan and benefits.

Does Humana Cover Medical Detox Treatment?

Yes, Humana typically supports policyholders with some of the costs associated with medical detoxification treatment, which may include medications and medical monitoring. Humana recognizes the importance of medical detox in the journey to sobriety. The extent of coverage, however, varies depending on the specific plan and other factors.

For a clearer understanding of the coverage levels and any potential out-of-pocket expenses related to medical detox treatment, review your Humana policy documents. This ensures you or your loved one can access the benefits of a supervised, safer, medically managed withdrawal process while reducing the health risks associated with this type of treatment.

Does Humana Cover Residential Treatment?

Yes, Humana may provide some coverage for residential treatment as part of its comprehensive health insurance plans. The extent of coverage, however, depends on the specific plan, the residential facility, and more. Residential treatment involves round-the-clock inpatient care in a live-in facility and is recognized by Humana as a crucial component of addressing mental health and substance abuse issues.

It’s still essential to carefully review your Humana plan details or contact us to ensure a thorough understanding of the specific coverage levels and any potential out-of-pocket expenses related to residential treatment.

Does Humana Cover Mental Health Therapy Treatment?

Humana offers coverage for mental health therapy under its comprehensive health insurance plans. The level of coverage, however, varies based on the specific plan and more. Humana recognizes mental health therapy as an essential aspect of overall well-being, and coverage may include a range of therapeutic services, such as counseling and psychotherapy.

Call (844) 326-4514 to understand the specifics of your mental health therapy treatment coverage and benefits with Humana.

Does Humana Cover EMDR Therapy?

Yes, Humana provides some level of coverage for Eye Movement Desensitization and Reprocessing (EMDR) therapy, a specialized psychotherapy aimed at alleviating distress from traumatic memories. The coverage extent varies based on the particular plan, emphasizing the importance of reviewing policy details for precise coverage information related to treatment and potential out-of-pocket expenses.

Other Rehab Treatment Programs Covered by Humana

Humana’s comprehensive health insurance plans often cover various other rehabilitation treatment programs. Understanding the full scope of rehabilitation options covered by Humana empowers you to make informed decisions about your treatment journey. The following sections will delve into specific aspects of Humana’s coverage for various treatment programs and support for those seeking recovery and overall well-being.

Coverage for Partial Hospitalization Programs

A Partial Hospitalization Program (PHP) offers intensive therapeutic support during the day, allowing individuals to return home in the evenings. PHPs provide a focused environment for those needing more than standard outpatient care. Humana typically covers PHPs as part of its commitment to comprehensive mental health and substance abuse treatment, including therapy sessions, medications, relapse prevention strategies, and other interventions.

Coverage for Intensive Outpatient Programs

An Intensive Outpatient Program (IOP) is a structured outpatient treatment providing a higher level of support than traditional services, suitable for those not requiring 24/7 inpatient care but needing intensive therapy. Humana generally covers IOPs, offering a flexible yet comprehensive approach to mental health and substance abuse treatment, including therapy sessions, group counseling, medication management, and other interventions.

Coverage for Evidence-Based Therapy Treatments

Evidence-based therapy treatments, grounded in rigorous scientific research, encompass clinically proven interventions like cognitive-behavioral therapy (CBT), motivational interviewing, and dialectical behavior therapy (DBT), involving sessions with qualified therapists. Humana typically covers these evidence-based interventions, acknowledging their effectiveness in addressing mental health and substance abuse concerns.

Coverage for Inpatient Rehab

Inpatient rehabilitation involves a comprehensive, residential treatment program where individuals reside in a facility and receive 24/7 care and support for mental health or substance abuse issues. This level of care is suitable for those requiring a structured, immersive environment to address severe conditions, providing a range of therapeutic services, medical supervision, and a supportive community.

Humana typically provides coverage for inpatient rehab, understanding the importance of this effective, intensive form of treatment. Coverage may include room and board, therapy sessions, medical monitoring, and other necessary interventions. However, as coverage levels can vary based on the specific Humana plan, you should review your plan details or contact us to understand the precise coverage levels and any potential out-of-pocket expenses associated with these rehab treatment programs. This will ensure you’re able to make informed decisions about treatment while utilizing the support available through your Humana insurance benefits.

Rehab Center in Massachusetts That Takes Humana

At Serenity at Summit, we are committed to aiding your path to recovery, overseeing the initial detox stage through aftercare, and advocating a holistic approach for lasting sobriety and enhanced mental well-being. Our modern facility offers a serene and private environment for substance addiction and mental health rehabilitation, integrating advanced clinical practices and evidence-based techniques.

Moreover, we accept insurance and may be able to accommodate your Humana plan. To embark on a transformative journey, we encourage you to explore our nationally-recognized treatment center at the address below.

Rehab Center in New Jersey That Takes Humana

Our treatment facility in Union, New Jersey, offers an array of treatment options, emphasizing personalized services, low staff-to-client ratios, and a team of master’s level therapists. Our rehabilitation programs are intricately designed to meet patients’ varied needs. For additional details or to learn more about our rehab center, which accepts insurance, visit us at:

How Much is Rehab with Humana Insurance?

The expenses associated with rehabilitation can fluctuate significantly, dependent on factors like the treatment type, geographical location, and the coverage provided by an insurance plan. Without insurance, the average cost for psychotherapy sessions typically falls between $100 and $200 per hour.8 Furthermore, individuals seeking outpatient rehab in New Jersey and Massachusetts can anticipate an average cost of around $1,700.9

We suggest carefully reviewing your policy documents to fully understand your Humana healthcare coverage, as the above are merely averages. Speaking with one of our helpful staff members who can clarify cost details tailored to your specific treatment needs can also provide the necessary confidence and security. Alternatively, check your insurance here.

How To Check Humana Coverage Levels for Rehab Treatment

Please fill out our online form to determine your eligibility and the extent of rehab treatment coverage under Humana. Our dedicated team will promptly engage with your insurance provider, ensuring a confidential process without any obligations. Once verified, we will contact you to discuss your policy details and guide you through the next steps.

For a thorough grasp of your Humana insurance policy details and to find rehab centers that take Humana, complete our online form using the link below:

How To Get Humana to Pay for Rehab Treatment

The first step is having a comprehensive understanding of your benefits documentation. Maximizing the benefits of your Humana rehabilitation coverage begins by choosing rehabilitation centers in-network with Humana and aligning them with your preferences. Then, secure a referral from your primary care physician and provide Humana with pre-authorization details, if necessary.

Ensure that the rehabilitation facility you select submits claims to Humana on your behalf. After completing your treatment, follow up with Humana to verify claims processing and receive any owed reimbursements or coverage benefits. Staying in-network with authorized providers and adhering to your recommended treatment plan will increase the likelihood of Humana covering your rehabilitation treatment.

How Many Times Will Humana Pay for Rehab?

The scope of rehabilitation coverage offered by Humana is contingent upon your individual policy, treatment category, medical necessity, and other factors. Typically, Humana provides coverage for services deemed medically necessary, and the specifics regarding the frequency and number of covered rehabilitation sessions may be outlined in your insurance policy.

For a more comprehensive understanding, including details on the frequency and number of covered rehabilitation sessions, give us a call. Engaging in conversations with both healthcare and insurance providers can offer additional insights.

Addiction Statistics in Massachusetts

  • The projected prevalence of Opioid Use Disorder (OUD) in Massachusetts for individuals aged 11 or older rose from 2.72% in 2011-2012 to 4.60% in 2015.10
  • There are 17,975 homeless people in Massachusetts, with 1 in 5 living with a serious mental illness.11
  • An American Journal of Public Health study revealed that counties with predominantly rural populations exhibited some of the highest rates of opioid use disorder (OUD):12
  • Berkshire – 6.06%
  • Bristol – 5.81%
  • Hampden – 5.34%
  • Barnstable – 5.03%
  • Worcester – 4.38%
  • Suffolk County, which includes Boston, reported a lower prevalence of OUD at 3.36%.
  • Around 260,000 adults in the state of Massachusetts have a serious mental illness.13
  • Outpatient services in Massachusetts account for $106 million or 4.59% of total U.S. public spending.14

Addiction Statistics in New Jersey

  • Annual fatalities in New Jersey resulting from the persistent increase in opioid use are nearly five times higher than those caused by car crashes and firearms combined.15
  • Between 2016 and 2021, approximately 312,000 people in New Jersey sought treatment for substance abuse.16
  • According to recent data, New Jersey is ranked the 15th most cost-effective state for non-hospital residential drug rehab treatment.17
  • Substance abuse in New Jersey was highlighted in a 2019 report, identifying the prevalent illicit drugs as heroin, other opiates, cocaine, and marijuana.18
  • The New Jersey Department of Health allocated a $250,000 fund in 2019 for paramedics to carry and administer buprenorphine during emergency calls.19

Sources

  1. “About Humana – Leaders in Healthcare.” Humana, www.humana.com/about. Accessed 12 Nov. 2023.
  2. “Humana Medicare Plans.” Humana, www.humana.com/medicare. Accessed 12 Nov. 2023.
  3. “CenterWell Pharmacy | Explore Prescription Plans and Services.” Humana, www.humana.com/pharmacy. Accessed 12 Nov. 2023.
  4. “Behavioral Health Guidelines.” Humana, www.humana.com/provider/medical-resources/clinical/behavioral-health-guidelines. Accessed 12 Nov. 2023.
  5. “Health and Wellness Programs for Employees and Medicare Members.” Go365, www.go365.com. Accessed 12 Nov. 2023.
  6. “Home Care Services and Solutions.” Humana, www.humana.com/home-care. Accessed 12 Nov. 2023.
  7. “TRICARE East.” Humana Military, www.humanamilitary.com. Accessed 12 Nov. 2023.
  8. Lauretta, Ashley. “How Much Does Therapy Cost in 2023?” Forbes Health, 14 Apr. 2023, www.forbes.com/health/mind/how-much-does-therapy-cost.
  9. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  10. Barocas, Joshua A., et al. “Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015: A Capture–Recapture Analysis.” American Journal of Public Health, vol. 108, no. 12, American Public Health Association, Dec. 2018, pp. 1675–81. https://doi.org/10.2105/ajph.2018.304673.
  11. “Mental Health in Massachusetts.” National Alliance on Mental Illness (NAMI), Feb. 2021, www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/MassachusettsStateFactSheet.pdf.
  12. Barocas, Joshua A. MD, et al. “Estimated Prevalence of Opioid Use Disorder in Massachusetts, 2011–2015: A Capture–Recapture Analysis.” American Journal of Public Health, vol. 108, no. 12, American Public Health Association, Dec. 2018, pp. 1675–81. https://doi.org/10.2105/ajph.2018.304673.
  13. “Mental Health in Massachusetts.” National Alliance on Mental Illness (NAMI), Feb. 2021, www.nami.org/NAMI/media/NAMI-Media/StateFactSheets/MassachusettsStateFactSheet.pdf.
  14. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  15. Curtis, Kaya, et al. “REENTRY: New Jersey Opioid Addiction Report: A Modern Plague.” New Jersey Reentry Corporation, 2018, www.njreentry.org/wp-contentlication/files/2716/4089/3978/Annual_Report_2018_New_Jersey_Opioid.pdf.
  16. “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2021 Statewide.” New Jersey Department of Human Services, July 2022, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2021/statewide.pdf.
  17. Stilkind, Joseph. “Average Cost of Drug Rehab [2023]: By Type, State and More.” NCDAS, 1 Jan. 2023, drugabusestatistics.org/cost-of-rehab.
  18. “New Jersey Drug and Alcohol Abuse Treatment: Substance Abuse Overview 2019 Statewide.” New Jersey Department of Human Services Division of Mental Health and Addiction Services, Oct. 2020, www.nj.gov/humanservices/dmhas/publications/statistical/Substance%20Abuse%20Overview/2019/Substance%20Abuse%20Overview%20Statewide%20Report%20-%20%202019.pdf.
  19. Gounder, Dr. Céline, and Kerry Breen. “New Jersey County Uses Innovative Program to Treat and Prevent Drug Overdoses.” CBS News, 1 July 2023, www.cbsnews.com/news/new-jersey-county-uses-innovative-program-to-treat-and-prevent-drug-overdoses.

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